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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Coughs Hard. Took Co-amoxiclav And Cetirizine. Still No Effect. Is This A Sign Of An Illness?

My son, 11 y/o, coughs hard in the middle night for about more than 3 weeks now. A pediatrician said my son has an allergy. She gave him a prescription of co-amoxiclav for 1 week and 5 tablets of cetirizine for 5 days. My son finished the prescribed medicine but he still coughs hard in the middle of the night. He doesn't have any known allergies before.
Fri, 10 May 2013
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Allergist and Immunologist,  's  Response
Hello,
You need to get him tested for allergies - without further deliberation as cough is a sign of hyperreactive airways disease that can progress to asthma.

Skin prick testing or specific IgE tests to aeroallergens will show what he is allergic to. Blood tests include: complete hemogram (Hb TC DC ESR), IgE levels and lung function tests (pre-and post-bronchodilator) will be required.

Long acting antihistamines and Nasonex nasal spray will help with the 'allergic' cough; and bronchodilators such as Asthalin or Step 2 Budesonide 200 2 puffs twice daily will be required if there is asthma on lung function tests.

I hope that was useful.
Best Wishes.
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I Coughs Hard. Took Co-amoxiclav And Cetirizine. Still No Effect. Is This A Sign Of An Illness?

Hello, You need to get him tested for allergies - without further deliberation as cough is a sign of hyperreactive airways disease that can progress to asthma. Skin prick testing or specific IgE tests to aeroallergens will show what he is allergic to. Blood tests include: complete hemogram (Hb TC DC ESR), IgE levels and lung function tests (pre-and post-bronchodilator) will be required. Long acting antihistamines and Nasonex nasal spray will help with the allergic cough; and bronchodilators such as Asthalin or Step 2 Budesonide 200 2 puffs twice daily will be required if there is asthma on lung function tests. I hope that was useful. Best Wishes.